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HomeMy WebLinkAboutCORRESPONDENCE - PURCHASE ORDER - 9171350Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
CHANGE ORDER
NO. 1
PROJECT TITLE: 2017 Second Street Storm Sewer Improvements
SERVICE PROVIDER: ICON Engineering
WORK ORDER NUMBER: BLA-2017-01
PO NUMBER: 9171350
DESCRIPTION:
1. Reason for Change: Project efficiency during the design phase allowed for the final
design to be completed under the anticipated cost presented in the original scope.
Specifically, City staff assisted in coordinating with the Lincoln Corridor project, compiling
background data, and base map preparation. Additionally, the amount of effort estimated
for Task C turned out to be much less than anticipated due to recent updates to hydrologic
and hydraulic information for the project area. Finally, review comment for the 90%
submittal were minimal.
2. Description of Change: Project design and construction was completed under the
estimated cost. Purchase order rec. will be closed out to allow for project close-out.
3. Change in Work Order Price: -$11,248.75
4. Change in Work Order Time: N/A
ORIGINAL WORK ORDER PRICE $ 22,600.00
TOTAL APPROVED CHANGE ORDER .00
TOTAL PENDING CHANGE ORDER .00
TOTAL THIS CHANGE ORDER -$11,248.75
TOTAL % OF THIS CHANGE ORDER - 49.8%
TOTAL C.O.% OF ORIGINAL WORK ORDER - 49.8%
ADJUSTED WORK ORDER COST $ 11,352.00
SERVICE PROVIDER: Date:
Name, Title
ACCEPTANCE: Date:
Name, Project Manager
REVIEWED: Date:
Name, Buyer or Senior Buyer
DocuSign Envelope ID: AD6A69FC-9404-42F2-BC3C-29ECEC91A806
January 4, 2018
January 5, 2018
January 5, 2018
Change Order Form (for Work Orders)
Official Purchasing Form
Last updated 10/2017
ACCEPTANCE: Date:
Gerry Paul, Purchasing Director
(if greater than $60,000)
DocuSign Envelope ID: AD6A69FC-9404-42F2-BC3C-29ECEC91A806